#513  Pituitary Incidentalomas

#513 Pituitary Incidentalomas

Author: The Curbsiders Internal Medicine Podcast February 2, 2026 Duration: 1:23:51

Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

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Show Segments

  • Intro
  • Rapid fire questions/Picks of the Week
  • Case 1
  • Defining Pituitary Incidentalomas
  • What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas
  • Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)
  • Decided when to reimage patients and long term follow up of microadenomas
  • Case 2
  • Hormonal workup for pituitary macroadenoma
  • Deciding when surgery should be considered
  • Discussing the role of visual field testing
  • Case 3
  • Defining empty sella syndrome
  • Discussing hormonal assessment of empty sella syndrome
  • Treatment options for hyperprolactinemia caused by empty sella syndrome
  • Outro

Credits

  • Producer, writer, show notes, and CME: Mobeen Ahmad MD
  • Infographic and cover art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Dr. Maria Fleseriu


Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
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